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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2
2
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-
8806
I
n
t.
J
.
P
u
b
lic
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Sci.,
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l.
10
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No
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4
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Dec
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b
er
2021
:
744
–
7
5
0
746
T
ab
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2
.
C
lin
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ar
ac
ter
is
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f
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r
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in
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C
l
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n
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c
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l
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h
a
r
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In
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5
]
.
T
h
ey
s
u
g
g
est
ed
it
m
a
y
ca
u
s
e
b
y
th
e
s
ch
o
o
l
clo
s
u
r
e
m
a
n
d
ates
[
1
1
]
.
Ou
r
s
tu
d
y
s
h
o
w
ed
a
d
if
f
er
en
t
r
es
u
lt
t
h
at
g
r
o
u
p
ag
e
les
s
er
o
r
eq
u
al
f
iv
e
y
ea
r
s
o
ld
(
p
r
esch
o
o
l
ag
e)
w
as
th
e
m
o
s
t
co
m
m
o
n
h
ad
to
b
u
r
n
i
n
j
u
r
y
.
T
h
i
s
r
es
u
lt
w
a
s
s
i
m
i
lar
to
a
s
tu
d
y
co
n
d
u
cted
b
y
L
a
u
r
a
et
a
l
.
b
ef
o
r
e
th
e
W
FH
m
an
d
at
e,
w
h
ic
h
s
h
o
w
s
t
h
at
p
ed
iatr
ic
b
u
r
n
in
j
u
r
y
's
m
o
s
t
co
m
m
o
n
g
r
o
u
p
a
g
e
i
s
ar
o
u
n
d
1
2
-
3
6
m
o
n
th
s
[
1
2
]
.
I
n
o
th
er
w
o
r
d
s
,
b
ased
o
n
t
h
is
s
t
u
d
y
,
s
ch
o
o
l
clo
s
u
r
e
is
n
o
t
o
n
e
f
ac
to
r
r
esp
o
n
s
ib
le
f
o
r
t
h
is
in
cr
ea
s
e.
Fro
m
T
ab
le
7
w
e
co
u
ld
co
n
clu
d
e
t
h
at
al
m
o
s
t
all
s
tu
d
i
es
f
r
o
m
d
if
f
er
en
t
co
u
n
tr
ies
s
h
o
w
ed
a
n
in
cr
ea
s
e
m
en
t
in
p
ed
iatr
ic
b
u
r
n
in
j
u
r
y
d
u
r
i
n
g
C
OVI
D
-
1
9
p
an
d
em
ic.
T
h
ese
f
i
n
d
i
n
g
s
m
a
y
i
n
d
icate
th
at
t
h
is
ca
s
e
h
as
p
o
ten
tial
to
b
e
a
g
lo
b
al
p
r
o
b
lem
i
f
it
is
n
o
t
tak
e
n
ca
r
e
s
e
r
io
u
s
l
y
.
E
v
er
y
co
u
n
tr
y
o
r
b
u
r
n
ce
n
ter
ca
n
f
ac
e
t
h
e
s
a
m
e
p
r
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b
le
m
w
h
e
n
t
h
e
w
o
r
k
f
r
o
m
h
o
m
e
m
an
d
ate
o
r
lo
ck
d
o
w
n
is
e
n
f
o
r
ce
d
[
2
]
,
[
4
]
,
[
7
]
,
[
8
]
.
T
ab
le
7
.
C
o
m
p
ar
is
o
n
o
f
in
cr
ea
s
e
m
e
n
t c
h
ild
b
u
r
n
s
in
j
u
r
y
i
n
ci
d
en
ce
.
S
t
u
d
y
I
n
c
r
e
a
se
m
e
n
t
o
f
c
h
i
l
d
b
u
r
n
i
n
j
u
r
y
b
e
f
o
r
e
a
n
d
d
u
r
i
n
g
C
O
V
I
D
-
1
9
p
a
n
d
e
mi
c
(
%)
T
h
i
s st
u
d
y
4
3
%
W
i
l
l
i
a
ms
e
t
a
l
.
[
3
]
9%
M
a
n
n
e
t
a
l
.
[
4
]
0
.
6
%
U
sh
a
e
t
a
l
.
[
7]
0
.
4
6
%
F
r
e
d
e
r
i
c
a
e
t
a
l
.
[
8
]
1
.
3
%
T
h
e
clin
ical
ch
ar
ac
ter
is
tics
o
f
th
e
b
u
r
n
in
j
u
r
y
o
f
o
u
r
d
ata
w
e
r
e
m
o
s
tl
y
s
i
m
ilar
to
p
r
ev
io
u
s
b
u
r
n
in
j
u
r
y
s
tu
d
ie
s
.
T
h
e
T
B
SA
is
t
h
e
o
n
l
y
v
ar
iab
le
t
h
at
d
o
es
n
o
t
s
i
m
ilar
to
o
t
h
er
s
t
u
d
ies.
P
r
io
r
s
tu
d
ie
s
s
h
o
w
ed
t
h
e
p
ed
iatr
ic
b
u
r
n
i
n
j
u
r
y
a
f
f
ec
ted
ar
o
u
n
d
7
.
5
%
T
B
SA
[
1
2
]
–
[
1
4
]
.
An
o
t
h
er
s
t
u
d
y
co
n
d
u
cted
b
y
A
ln
ab
ab
tah
et
a
l.
r
ep
r
esen
ted
th
e
m
o
s
t
co
m
m
o
n
T
B
SA
a
f
f
ec
ted
i
n
p
ed
iatr
ic
b
u
r
n
i
n
j
u
r
y
w
as
b
et
w
ee
n
1
-
5
%
[
6
]
.
Ou
r
d
ata
s
h
o
w
ed
h
i
g
h
er
T
B
SA
af
f
ec
t
ed
w
ith
a
m
ea
n
o
f
1
3
.
3
2
%.
Mid
d
er
m
al
s
ev
er
it
y
is
t
h
e
m
o
s
t
co
m
m
o
n
an
d
co
n
s
is
ten
t
w
it
h
t
h
e
p
r
ev
io
u
s
s
tu
d
ie
s
w
h
en
t
h
e
b
u
r
n
i
n
j
u
r
y
in
p
ed
iatr
ics
h
as
h
i
g
h
s
e
v
er
it
y
b
ec
au
s
e
th
e
ch
ild
r
en
's
s
k
in
a
n
ato
m
y
i
s
th
i
n
n
er
t
h
an
ad
u
lts
[
1
1
]
.
Ho
t
liq
u
id
is
t
h
e
m
o
s
t
co
m
m
o
n
ca
u
s
ativ
e
a
g
en
t,
a
n
d
th
e
in
j
u
r
y
's
lo
ca
tio
n
co
m
m
o
n
l
y
a
f
f
ec
ted
th
e
ex
tr
e
m
it
y
.
T
h
ese
m
a
y
in
d
icate
th
at
o
u
r
p
ed
iatr
ic
b
u
r
n
in
j
u
r
y
is
m
o
r
e
s
ev
er
e
th
a
n
o
th
er
s
[
4
]
,
[
1
2
]
–
[
1
5
]
.
W
h
ile
t
h
er
e
is
n
o
s
ig
n
i
f
ica
n
t
r
esu
lt
to
b
e
co
n
cl
u
d
ed
f
r
o
m
d
em
o
g
r
ap
h
ic
an
d
cl
i
n
ica
l
ch
ar
ac
ter
is
tics
i
n
p
ed
iatr
ic
b
u
r
n
in
j
u
r
y
,
w
e
s
u
g
g
est
th
e
f
a
m
il
y
b
ac
k
g
r
o
u
n
d
p
la
y
s
a
v
ita
l
r
o
le
in
th
i
s
i
n
cr
ea
s
e
m
e
n
t
i
n
p
ed
iatr
ic
b
u
r
n
i
n
j
u
r
ies
[
2
]
,
[
1
4
]
,
[
1
6
]
,
[
1
7
]
.
T
h
is
s
t
u
d
y
e
v
al
u
ates
t
h
e
n
u
m
b
er
o
f
m
o
t
h
er
s
as
h
o
u
s
e
w
i
v
es
an
d
m
o
th
er
s
w
h
o
p
r
ev
io
u
s
l
y
W
FO,
w
h
ich
is
n
o
w
W
F
H,
an
d
t
h
e
p
o
s
s
es
s
i
o
n
o
f
c
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r
en
’
s
s
ib
li
n
g
s
.
T
h
e
to
tal
is
2
8
b
ec
au
s
e
t
w
o
o
f
th
e
m
s
till
w
o
r
k
i
n
t
h
e
o
f
f
ice,
s
o
th
e
y
w
er
e
e
x
cl
u
d
ed
.
Ou
r
s
t
u
d
y
in
d
icate
d
t
h
at
w
h
et
h
er
th
e
m
o
t
h
er
is
a
h
o
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s
e
w
i
f
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r
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g
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W
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H,
th
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c
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’
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lin
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m
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t
w
o
h
a
s
lo
w
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p
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iatr
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b
u
r
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in
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r
ies.
T
h
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f
i
n
d
in
g
s
w
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co
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s
is
ten
t
w
it
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h
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s
tu
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b
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Am
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w
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m
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t
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a
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t
h
e
p
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b
u
r
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r
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[
1
4
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[
1
8
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.
T
h
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f
i
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t
t
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d
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C
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1
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p
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d
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ic.
Ot
h
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to
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s
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s
u
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h
a
s
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e
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o
f
p
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iat
r
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b
u
r
n
i
n
j
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,
as
s
h
o
w
n
i
n
s
ev
er
al
p
r
ev
io
u
s
s
t
u
d
ies
[
1
9
]
,
[
2
0
]
.
W
e
ev
alu
ate
d
th
e
m
o
t
h
er
o
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u
p
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it
w
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at
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h
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r
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to
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m
o
th
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a
n
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h
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f
a
th
er
[
2
1
]
,
[
2
2
]
.
T
h
is
co
n
clu
d
es
th
at
W
FH
m
o
t
h
er
is
n
o
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th
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ca
u
s
e
o
f
t
h
is
p
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en
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e
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(
t
h
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cr
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s
m
e
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t
o
f
p
ed
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ic
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u
r
n
in
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y
d
u
r
in
g
C
OVI
D
-
1
9
p
an
d
e
m
ic
)
,
b
u
t
th
is
p
r
o
b
ab
ly
m
o
th
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i
s
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o
t
r
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y
to
w
o
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k
a
t
h
o
m
e
b
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s
e
s
h
e
w
as
u
n
ab
le
in
f
o
c
u
s
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n
g
o
n
w
o
r
k
a
n
d
ch
ild
r
en
at
t
h
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s
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m
e
ti
m
e.
A
t
C
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D
-
1
9
p
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lin
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e
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f
p
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u
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n
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en
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s
,
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r
o
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ab
ly
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ec
a
u
s
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t
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li
n
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o
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at
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elp
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er
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en
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Oth
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a
m
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les
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ar
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w
ater
s
af
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ee
p
b
u
r
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ab
l
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m
ater
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a
w
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y
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ild
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en
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ch
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ater
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.
W
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ip
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ar
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b
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k
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o
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an
d
h
o
m
e
r
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t
h
at
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d
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esp
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e
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.
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en
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id
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to
s
ee
k
m
ed
ic
al
ex
p
er
ts
[
2
3
]
–
[
2
5
]
.
W
h
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th
er
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o
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r
r
elatio
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c
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to
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s
tan
d
th
is
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h
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o
m
e
n
o
n
.
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d
ies
w
it
h
m
o
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e
s
p
ec
if
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v
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f
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a
m
i
lial b
ac
k
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y
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n
t
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n
ter
p
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etatio
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o
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d
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o
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th
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s
s
tu
d
y
,
t
h
er
e
ar
e
s
ev
er
al
li
m
itatio
n
s
.
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y
,
th
is
s
t
u
d
y
p
o
p
u
latio
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is
li
m
ited
to
p
atien
ts
w
h
o
ca
m
e
to
th
e
g
e
n
er
al
h
o
s
p
ital
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d
t
y
p
e
B
p
r
iv
ate
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o
s
p
ital
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l
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o
t
f
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o
m
all
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s
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ita
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/b
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n
ce
n
ter
s
an
d
th
e
s
a
m
p
le
s
ize
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s
s
m
all.
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o
n
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,
m
o
s
t
s
u
b
j
ec
ts
h
a
v
e
m
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s
w
h
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k
as
h
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co
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id
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w
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k
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f
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m
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w
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w
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ate
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n
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d
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FH
m
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s
w
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p
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ev
io
u
s
l
y
w
o
r
k
f
r
o
m
t
h
e
o
f
f
ice.
4.
C
O
NCLU
SI
O
N
T
h
e
d
em
o
g
r
ap
h
ic
a
n
d
clin
ic
al
ch
ar
ac
ter
is
tic
s
o
f
p
ed
iatr
ic
b
u
r
n
in
j
u
r
y
d
u
r
in
g
th
e
C
OVI
D
-
19
p
an
d
e
m
ic
a
n
d
b
ef
o
r
e
C
OVI
D
-
1
9
p
an
d
e
m
ic
d
id
n
o
t
d
if
f
er
i
n
co
n
tr
as
t.
T
h
e
in
cr
ea
s
e
m
e
n
t
o
f
th
e
ca
s
e
s
u
g
g
e
s
t
s
th
at
p
ar
en
t,
e
s
p
ec
iall
y
m
o
t
h
er
is
n
o
t r
ea
d
y
to
d
o
th
e
w
o
r
k
at
h
o
m
e,
u
n
ab
le
i
n
f
o
cu
s
i
n
g
o
n
w
o
r
k
a
n
d
ch
ild
r
en
at
h
o
m
e
at
t
h
e
s
a
m
e
ti
m
e.
W
e
s
u
g
g
e
s
t
a
f
u
r
th
er
s
t
u
d
y
o
f
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m
ili
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b
ac
k
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h
o
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ld
b
e
co
n
d
u
cted
to
u
n
d
er
s
ta
n
d
th
is
p
h
en
o
m
en
o
n
.
Stra
teg
ies t
o
m
i
tig
a
te
s
h
o
u
ld
b
e
th
o
u
g
h
tf
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ll
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m
p
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m
e
n
ted
.
ACK
NO
WL
E
D
G
E
M
E
NT
S
T
h
e
au
th
o
r
s
g
iv
e
t
h
a
n
k
s
to
Sai
f
u
l
A
n
w
ar
Gen
er
al
Ho
s
p
ital
Ma
lan
g
an
d
P
er
s
ad
a
Ho
s
p
ital
Ma
lan
g
f
o
r
th
e
co
n
tr
ib
u
tio
n
o
f
t
h
i
s
r
esear
ch
.
RE
F
E
R
E
NC
E
S
[1
]
O.
M
u
n
g
k
a
sa
,
“
W
o
rk
in
g
F
ro
m
H
o
m
e
(
W
F
H):
T
o
w
a
rd
s
a
Ne
w
Or
d
e
r
P
a
n
d
e
m
ic
Era
o
f
COV
ID
1
9
(in
In
d
o
n
e
sia
)
,
”
J
.
Pe
re
n
c
.
Pem
b
a
n
g
.
In
d
o
n
e
s.
J
.
De
v
.
Pl
a
n
.
,
v
o
l.
4
,
n
o
.
2
,
p
p
.
1
2
6
–
1
5
0
,
2
0
2
0
,
d
o
i:
1
0
.
3
6
5
7
4
/j
p
p
.
v
4
i
2
.
1
1
9
.
[2
]
F
.
N.
W
il
li
a
m
s,
R.
Niz
a
m
a
n
i,
L
.
Ch
risc
o
,
a
n
d
B.
T
.
Ki
n
g
,
“
In
c
re
a
se
d
Bu
rn
Ce
n
ter
A
d
m
issio
n
s
Du
r
in
g
COV
ID
-
19
P
a
n
d
e
m
ic
,
”
J
.
Bu
rn
c
a
re
Res
.
O
ff
.
Pu
b
l.
Am
.
Bu
r
n
Asso
c
.
,
v
o
l.
4
1
,
n
o
.
5
,
p
p
.
1
1
2
8
,
S
e
p
.
2
0
2
0
,
d
o
i
:
1
0
.
1
0
9
3
/
jb
c
r/i
ra
a
1
1
2
.
[3
]
F
.
N.
W
il
li
a
m
s,
L
.
Ch
risc
o
,
R.
Niz
a
m
a
n
i,
a
n
d
B.
T
.
Kin
g
,
“
COV
ID
-
1
9
re
late
d
a
d
m
issio
n
s
to
a
re
g
io
n
a
l
b
u
rn
c
e
n
ter
:
T
h
e
i
m
p
a
c
t
o
f
sh
e
lt
e
r
-
in
-
p
lac
e
m
a
n
d
a
te,”
Bu
rn
.
Op
e
n
,
v
o
l.
4
,
n
o
.
4
,
p
p
.
1
5
8
–
1
5
9
,
2
0
2
0
,
d
o
i
:
1
0
.
1
0
1
6
/
j.
b
u
rn
s
o
.
2
0
2
0
.
0
7
.
0
0
4
.
[4
]
J.
A
.
M
a
n
n
,
N.
P
a
tel,
J.
Bra
g
g
,
a
n
d
D.
Ro
la
n
d
,
“
Did
c
h
il
d
re
n
‘st
a
y
sa
f
e
’?
Ev
a
lu
a
ti
o
n
o
f
b
u
rn
s
p
r
e
se
n
tatio
n
s
t
o
a
c
h
il
d
re
n
’s
e
m
e
rg
e
n
c
y
d
e
p
a
rt
m
e
n
t
d
u
rin
g
t
h
e
p
e
r
io
d
o
f
COV
I
D
-
1
9
sc
h
o
o
l
c
lo
s
u
re
s
,
”
Arc
h
ive
s
o
f
d
ise
a
se
i
n
c
h
il
d
h
o
o
d
,
v
o
l.
1
0
6
,
n
o
.
3
.
p
p
.
1
,
M
a
r.
2
0
2
1
,
d
o
i:
1
0
.
1
1
3
6
/arc
h
d
isc
h
il
d
-
2
0
2
0
-
3
2
0
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1
5
.
[5
]
L
.
C.
T
e
g
t
m
e
y
e
r
e
t
a
l.
,
“
Re
tro
sp
e
c
ti
v
e
a
n
a
l
y
sis
o
n
th
e
rm
a
l
in
ju
ries
in
c
h
il
d
re
n
—
De
m
o
g
ra
p
h
ic,
e
ti
o
lo
g
ica
l
a
n
d
c
li
n
ica
l
d
a
ta
o
f
G
e
r
m
a
n
a
n
d
A
u
strian
p
e
d
iatric h
o
s
p
it
a
ls
2
0
0
6
–
2
0
1
5
—
A
p
p
ro
a
c
h
in
g
t
h
e
n
e
w
Ge
r
m
a
n
b
u
r
n
re
g
istry
,
”
Bu
rn
s
,
v
o
l
.
4
4
,
n
o
.
1
,
p
p
.
1
5
0
–
1
5
7
,
2
0
1
8
,
d
o
i:
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0
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1
0
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6
/
j.
b
u
rn
s.
2
0
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7
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0
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.
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1
3
.
[6
]
K.
A
ln
a
b
a
b
tah
a
n
d
S
.
Kh
a
n
,
“
S
o
c
io
-
d
e
m
o
g
ra
p
h
ic
f
a
c
to
rs
w
h
ich
sig
n
if
ica
n
tl
y
re
late
to
th
e
p
re
d
i
c
ti
o
n
o
f
b
u
rn
s
se
v
e
rit
y
in
c
h
il
d
re
n
,
”
I
n
t.
J
.
Bu
r
n
s T
ra
u
m
a
.
,
v
o
l.
7
,
n
o
.
5
,
p
p
.
5
6
–
6
3
,
2
0
1
7
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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:
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8806
I
n
t.
J
.
P
u
b
lic
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l.
10
,
No
.
4
,
Dec
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b
er
2021
:
744
–
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5
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750
[7
]
U.
S
e
th
u
ra
m
a
n
e
t
a
l.
,
“
Bu
rn
v
isit
s
to
a
p
e
d
iatric
b
u
rn
c
e
n
ter
d
u
rin
g
th
e
COV
ID
-
1
9
p
a
n
d
e
m
ic
a
n
d
‘
S
tay
a
t
h
o
m
e
’
p
e
rio
d
,
”
Bu
rn
s
:
jo
u
rn
a
l
o
f
th
e
In
t
e
rn
a
ti
o
n
a
l
S
o
c
iety
fo
r
Bu
r
n
In
ju
r
ies
,
v
o
l.
4
7
,
n
o
.
2
.
p
p
.
4
9
1
–
4
9
2
,
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r.
2
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1
,
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o
i:
1
0
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1
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6
/
j.
b
u
rn
s.
2
0
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0
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0
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0
0
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.
[8
]
F
.
D’A
sta
e
t
a
l.
,
“
P
a
e
d
iatric
b
u
rn
s
e
p
id
e
m
io
lo
g
y
d
u
rin
g
COV
ID
-
1
9
p
a
n
d
e
m
ic
a
n
d
‘sta
y
h
o
m
e
’
e
ra
,
”
Bu
rn
s
:
jo
u
r
n
a
l
o
f
th
e
In
ter
n
a
ti
o
n
a
l
S
o
c
iety
fo
r
Bu
rn
I
n
ju
rie
s
,
v
o
l.
4
6
,
n
o
.
6
.
p
p
.
1
4
7
1
–
1
4
7
2
,
S
e
p
.
2
0
2
0
,
d
o
i:
1
0
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1
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6
/
j.
b
u
rn
s.
2
0
2
0
.
0
6
.
0
2
8
.
[9
]
D.
Kru
c
h
e
v
sk
y
,
M
.
A
rra
f
,
S
.
Lev
a
n
o
n
,
T
.
Ca
p
u
c
h
a
,
Y.
Ra
m
o
n
,
a
n
d
Y.
Ull
m
a
n
n
,
“
T
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n
d
s
in
Bu
rn
In
j
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ries
in
No
rth
e
rn
Isra
e
l
Du
ri
n
g
th
e
COV
I
D
-
1
9
L
o
c
k
d
o
w
n
,
”
J
.
Bu
rn
c
a
re
R
e
s.
Off.
Pu
b
l
.
Am.
B
u
rn
Asso
c
.
,
v
o
l.
4
2
,
n
o
.
2
,
p
p
.
135
–
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1
0
9
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c
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ra
a
1
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4
.
[1
0
]
J.
Ch
e
n
a
n
d
L
.
P
.
Jo
r
d
a
n
,
“
P
sy
c
h
o
lo
g
ica
l
W
e
ll
-
Be
in
g
o
f
Co
re
sid
in
g
El
d
e
rl
y
P
a
re
n
ts
a
n
d
A
d
u
lt
Ch
il
d
re
n
in
Ch
i
n
a
:
Do
F
a
th
e
r
–
Ch
i
ld
a
n
d
M
o
t
h
e
r
–
Ch
il
d
Re
latio
n
s
h
ip
s
M
a
k
e
a
Di
ff
e
r
e
n
c
e
?
,
”
J
.
Fa
m.
Iss
u
e
s
,
v
o
l.
4
0
,
n
o
.
1
8
,
p
p
.
2
7
2
8
–
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7
5
0
,
2
0
1
9
,
d
o
i:
1
0
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1
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7
7
/0
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9
2
5
1
3
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9
8
6
2
8
4
5
.
[1
1
]
E.
M
a
th
ias
a
n
d
M
.
S
ri
n
iv
a
s
M
u
r
th
y
,
“
P
e
d
iatric
T
h
e
rm
a
l
Bu
rn
s
a
n
d
T
re
a
t
m
e
n
t:
A
Re
v
ie
w
o
f
P
ro
g
re
ss
a
n
d
F
u
tu
r
e
P
r
o
sp
e
c
ts,
”
M
e
d
icin
e
s
,
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l.
4
,
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o
.
4
,
p
p
.
1
-
11
,
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0
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7
,
d
o
i
:
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0
.
3
3
9
0
/
m
e
d
icin
e
s4
0
4
0
0
9
1
.
[1
2
]
C.
J
.
L
e
e
e
t
a
l.
,
“
P
e
d
iatric
b
u
r
n
s:
A
sin
g
le
in
stit
u
t
io
n
re
tro
s
p
e
c
ti
v
e
re
v
ie
w
o
f
in
c
id
e
n
c
e
,
e
ti
o
lo
g
y
,
a
n
d
o
u
tco
m
e
s
in
2
2
7
3
b
u
r
n
p
a
ti
e
n
ts
(
1
9
9
5
-
2
0
1
3
),
”
J
.
B
u
rn
Ca
re
Res
.
,
v
o
l.
3
7
,
n
o
.
6
,
p
p
.
5
7
9
–
5
8
5
,
2
0
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6
,
d
o
i
:
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0
.
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0
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7
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.
0
0
0
0
0
0
0
0
0
0
0
0
0
3
6
2
.
[1
3
]
D.
D.
P
a
tel
e
t
a
l.
,
“
P
o
v
e
rty
,
p
o
p
u
latio
n
d
e
n
sity
,
a
n
d
th
e
e
p
id
e
m
io
lo
g
y
o
f
b
u
rn
s
in
y
o
u
n
g
c
h
il
d
re
n
f
ro
m
M
e
x
ico
trea
ted
a
t
a
U.S
.
p
e
d
iatric
b
u
r
n
f
a
c
il
it
y
,
”
Bu
rn
s
,
v
o
l.
4
4
,
n
o
.
5
,
p
p
.
1
2
6
9
–
1
2
7
8
,
2
0
1
8
,
d
o
i:
1
0
.
1
0
1
6
/
j.
b
u
rn
s.
2
0
1
8
.
0
2
.
0
0
3
.
[1
4
]
E.
V
.
A
m
a
d
o
r
a
n
d
M
.
A
.
He
rn
a
n
d
e
z
S
o
lan
o
,
“
Risk
f
a
c
to
rs
o
f
b
u
r
n
s
in
c
h
il
d
re
n
f
ro
m
lo
w
in
c
o
m
e
f
a
m
il
ies
a
n
d
w
it
h
o
u
t
m
e
d
ica
l
in
su
ra
n
c
e
,
”
S
a
l
u
d
Un
i
n
o
rte
,
v
o
l.
3
4
,
n
o
.
2
,
p
p
.
2
6
3
–
2
7
5
,
M
a
y
2
0
1
8
,
d
o
i:
1
0
.
1
4
4
8
2
/su
n
.
3
4
.
2
.
6
1
7
.
1
1
.
[1
5
]
L
.
S
a
n
ti
so
,
C.
T
a
p
k
in
g
,
J.
O.
L
e
e
,
R.
Zap
a
ta
-
S
irv
e
n
t,
C.
A
.
P
it
telli
,
a
n
d
O.
E.
S
u
m
a
n
,
“
T
h
e
Ep
id
e
m
io
lo
g
y
o
f
Bu
rn
s
in
Ch
il
d
re
n
i
n
G
u
a
te
m
a
la:
A
S
in
g
le
Ce
n
ter
Re
p
o
rt
,
”
J
.
Bu
rn
c
a
re
Res
.
Off.
Pu
b
l.
Am.
B
u
rn
Asso
c
.
,
v
o
l.
4
1
,
n
o
.
2
,
p
p
.
2
4
8
–
2
5
3
,
F
e
b
.
2
0
2
0
,
d
o
i:
1
0
.
1
0
9
3
/j
b
c
r/i
rz
1
5
7
.
[1
6
]
M
.
L
.
Ko
v
ler
e
t
a
l.
,
“
In
c
re
a
se
d
p
r
o
p
o
rti
o
n
o
f
p
h
y
sic
a
l
c
h
il
d
a
b
u
se
i
n
ju
ries
a
t
a
lev
e
l
I
p
e
d
iatric
trau
m
a
c
e
n
t
e
r
d
u
ri
n
g
th
e
Co
v
id
-
1
9
p
a
n
d
e
m
ic
,
”
Ch
il
d
A
b
u
se
Ne
g
l.
,
v
o
l.
1
1
6
,
p
p
.
1
-
7
,
J
u
n
.
2
0
2
1
,
d
o
i:
1
0
.
1
0
1
6
/j
.
c
h
ia
b
u
.
2
0
2
0
.
1
0
4
7
5
6
.
[1
7
]
I.
G
h
o
rb
e
l,
F
.
Bo
u
a
z
iz,
K.
L
o
u
k
i
l,
S
.
M
o
a
ll
a
,
M
.
G
a
ss
a
ra
,
a
n
d
K.
En
n
o
u
ri,
“
Ep
i
d
e
m
io
lo
g
ica
l
p
ro
f
il
e
o
f
b
u
r
n
s
i
n
c
h
il
d
re
n
in
c
e
n
tral
a
n
d
so
u
t
h
e
rn
T
u
n
isia:
A
67
-
c
a
se
se
ries
,
”
Ar
c
h
.
Ped
ia
tr.
,
v
o
l.
2
6
,
n
o
.
3
,
p
p
.
1
5
8
–
1
6
0
,
A
p
r.
2
0
1
9
,
d
o
i:
1
0
.
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0
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6
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.
a
rc
p
e
d
.
2
0
1
9
.
0
2
.
0
0
7
.
[1
8
]
M
.
H.
S
w
a
n
so
n
,
“
S
i
b
li
n
g
su
p
e
rv
isio
n
:
A
risk
fa
c
to
r
f
o
r
u
n
in
te
n
ti
o
n
a
l
c
h
il
d
h
o
o
d
i
n
ju
ry
in
ru
ra
l
U
g
a
n
d
a
?
,
”
Cli
n
.
Pra
c
t.
Ped
i
a
tr.
Psy
c
h
o
l.
,
v
o
l.
6
,
n
o
.
4
,
p
p
.
3
6
4
–
3
7
4
,
2
0
1
8
,
d
o
i:
1
0
.
1
0
3
7
/cp
p
0
0
0
0
2
5
2
.
[1
9
]
A
.
A
.
Ja
v
a
id
,
E.
Jo
h
n
so
n
,
L
.
Ho
ll
é
n
,
a
n
d
A
.
M
.
Ke
m
p
,
“
In
f
lu
e
n
c
e
o
f
a
g
e
n
ts
a
n
d
m
e
c
h
a
n
ism
s
o
f
in
ju
ry
on
a
n
a
to
m
ica
l
b
u
rn
lo
c
a
ti
o
n
s
in
c
h
i
ld
re
n
<
5
y
e
a
rs
o
ld
w
it
h
a
s
c
a
ld
,
”
Arc
h
.
Dis.
Ch
il
d
.
,
p
p
.
1
-
2
5
,
M
a
r.
2
0
2
1
,
d
o
i:
1
0
.
1
1
3
6
/arc
h
d
isc
h
il
d
-
2
0
2
0
-
3
2
0
7
1
0
.
[2
0
]
A
.
Dh
o
p
te,
V
.
K.
T
iw
a
ri,
P
.
P
a
tel,
a
n
d
R.
Ba
m
a
l,
“
Ep
id
e
m
io
lo
g
y
o
f
p
e
d
iatric b
u
rn
s a
n
d
f
u
tu
re
p
re
v
e
n
ti
o
n
str
a
teg
ies
-
a
stu
d
y
o
f
4
7
5
p
a
ti
e
n
ts
f
ro
m
a
h
ig
h
-
vo
lu
m
e
b
u
r
n
c
e
n
ter
in
No
rt
h
I
n
d
ia
,
”
B
u
rn
.
T
ra
u
ma
,
v
o
l.
5
,
no
.
1
,
p
p
.
1
-
8
,
2
0
1
7
,
d
o
i:
1
0
.
1
1
8
6
/s4
1
0
3
8
-
0
1
6
-
0
0
6
7
-
3.
[2
1
]
H.
F
.
Ra
s
m
u
ss
e
n
e
t
a
l.
,
“
M
o
th
e
r
-
c
h
il
d
lan
g
u
a
g
e
st
y
le
m
a
tch
in
g
p
re
d
icts c
h
il
d
re
n
’s a
n
d
m
o
th
e
rs’
e
m
o
ti
o
n
re
a
c
ti
v
it
y
,
”
Beh
a
v
.
Br
a
in
Res
.
,
v
o
l.
3
2
5
,
p
p
.
1
-
11
,
M
a
y
2
0
1
7
,
d
o
i:
1
0
.
1
0
1
6
/j
.
b
b
r
.
2
0
1
6
.
1
2
.
0
3
6
.
[2
2
]
S
.
A
in
i
a
n
d
N.
He
r
n
a
w
a
ti
,
“
P
a
re
n
tal
En
v
ir
o
n
m
e
n
t
Qu
a
li
ty
,
M
o
th
e
r
-
Ch
il
d
A
tt
a
c
h
m
e
n
t,
a
n
d
Co
g
n
i
ti
v
e
De
v
e
lo
p
m
e
n
t
o
f
P
re
sc
h
o
o
l
Ch
il
d
re
n
w
it
h
Wo
rk
in
g
M
o
th
e
r,
”
J
.
Ch
i
ld
De
v
.
S
tu
d
.
,
v
o
l.
1
,
n
o
.
2
,
p
p
.
1
2
-
21
,
2
0
1
6
,
d
o
i
:
1
0
.
2
9
2
4
4
/j
c
d
s.
1
.
2
.
1
2
-
2
1
.
[2
3
]
S
.
L
a
l
a
n
d
D.
Bh
a
tt
i,
“
Bu
rn
in
j
u
r
y
in
in
f
a
n
ts
a
n
d
to
d
d
lers
:
Risk
f
a
c
to
rs,
c
ircu
m
sta
n
c
e
s,
a
n
d
p
re
v
e
n
ti
o
n
,
”
In
d
i
a
n
J
.
Bu
rn
.
,
v
o
l.
2
5
,
n
o
.
1
,
p
p
.
7
2
-
75
,
2
0
1
7
,
d
o
i:
1
0
.
4
1
0
3
/i
j
b
.
ij
b
_
1
4
_
1
7.
[2
4
]
M
.
S
a
to
e
t
a
l.
,
“
F
a
t
h
e
r’s
ro
les
a
n
d
p
e
rsp
e
c
ti
v
e
s
o
n
h
e
a
lt
h
c
a
re
se
e
k
in
g
f
o
r
c
h
il
d
re
n
w
it
h
p
n
e
u
m
o
n
i
a
:
F
in
d
in
g
s
o
f
a
q
u
a
li
tativ
e
stu
d
y
in
a
ru
r
a
l
c
o
m
m
u
n
it
y
o
f
th
e
P
h
il
i
p
p
i
n
e
s
,
”
BM
J
Op
e
n
,
v
o
l.
8
,
n
o
.
1
1
,
p
p
.
1
-
10
,
No
v
.
2
0
1
8
,
d
o
i:
1
0
.
1
1
3
6
/
b
m
jo
p
e
n
-
2
0
1
8
-
0
2
3
8
5
7
.
[2
5
]
S
.
Hig
h
a
m
a
n
d
R.
Da
v
ies
,
“
P
r
o
t
e
c
ti
n
g
,
p
ro
v
id
in
g
,
a
n
d
p
a
rt
icip
a
ti
n
g
:
f
a
th
e
rs’
ro
les
d
u
ri
n
g
t
h
e
ir
c
h
il
d
’s
u
n
p
lan
n
e
d
h
o
sp
i
tal
sta
y
,
a
n
e
th
n
o
g
ra
p
h
ic
stu
d
y
,
”
J
.
Ad
v
.
Nu
rs
.
,
v
o
l.
6
9
,
n
o
.
6
,
p
p
.
1
3
9
0
–
1
3
9
9
,
Ju
n
.
2
0
1
3
,
d
o
i
:
1
0
.
1
1
1
1
/
j.
1
3
6
5
-
2
6
4
8
.
2
0
1
2
.
0
6
1
3
1
.
x
.
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